As the client, and in consideration for my participation in breathwork sessions I agree that my participation in the ThetaHealing Meditation Technique Session session is entirely voluntary and that I assume any risk associated with participation.
Any actions or lack of actions, taken by me, the client, of such advice is done so solely by choice and responsibility, and any harm, injury, or loss that may occur to me or my property as a result of my participation in breathwork, is neither the responsibility nor liability of Brenda Winkle Empowerment, LLC or Brenda Winkle.
I understand that my pracitioner is certified in Basic DNA and Advanced ThetaHealing® Meditation Technique by the THiNK Institute.
I understand that ThetaHealing Meditation Technique is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of therapy. I recognize that ThetaHealing® requires emotional, physical, and mental effort, exertion, and behavioral experimentation, on my part, which may cause physical, mental or emotional injury. I fully acknowledge and take full responsibility for all the risks involved. I understand that it is my responsibility to consult with my healthcare provider prior to participating in ThetaHealing.
In the event that I am injured, I agree to assume any financial obligation, either through my personal health insurance, or through some other means, for any medical costs I incur. Brenda Winkle Empowerment, LLC and Brenda Winkle assume no responsibility for any medical expenses, injury, or damage suffered by me in connection with the use of any facilities or services in connection with the Practicum.
IN CONSIDERATION OF MY PARTICIPATION IN ThetaHealing® Meditation Technique, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS Brenda Winkle Empowerment, LLC AND Brenda Winkle, AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (THE “RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse Brenda Winkle Empowerment, LLC and Brenda Winkle for any damages, reasonable settlements and defense costs, including attorney’s fees, that they incur because of any such claims made against them. I agree that the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative, executor, administrator or guardian will be obligated to respect and enforce them. This RELEASE does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that applicable law does not permit to be excluded by agreement.
I agree that the purpose of this agreement is that it shall be an enforceable RELEASE OF LIABILITY AND INDEMNITY as broad and inclusive as is permitted by Oregon law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.
I understand that this is a contract that affects my legal rights, and I have read and understood this form and all its contents, and I voluntarily agree to the terms and conditions stated above.
To submit questions regarding this release please email: [email protected]